New Jersey Mobile Dental Practice, P.A.

LBN: New Jersey Mobile Dental Practice, P.A.
New Jersey Mobile Dental Practice, P.A. is an health care organization with primary practice located at 24 Merchants Way , Colts Neck NJ 07722-1570. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. New Jersey Mobile Dental Practice, P.A. can be contacted via phone (732) 431-7577, or through Beukas, Stephen A via phone (732) 431-7577.

Contact Information

Primary practice address
24 Merchants Way Colts Neck NJ 07722-1570
Phone: (732) 431-7577
Fax: (732) 431-8070
Website:
Map and Directions
Authorized official contact:
Name: Beukas, Stephen A Doctor of Dental Medicine (DMD)
Phone: (732) 431-7577

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DI018346 New Jersey

Profile Details

NPI number 1447379102
LBN Legal business name New Jersey Mobile Dental Practice, P.A.
DBA Doing business as
Authorized official Beukas, Stephen A Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447379102 NPPES
New Jersey MEDICAID 6516301

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